Abstract
An 86-year-old man was diagnosed with obstructive jaundice due to extrahepatic bile duct tumor. Percutaneous transhepatic biliary drainage (PTBD) was performed following failed transpapillary biliary drainage. The next day, a biliary metal stent was placed by rendezvous endoscopic retrograde cholangiopancreatography (ERCP) and a tube was also placed via the PTBD route. Two days later, a computed tomography scan showed emphysema in the abdominal wall where the PTBD tube was inserted. He was diagnosed with cellulitis. The PTBD tube was removed and incisional drainage was performed. Klebsiella oxytoca was cultured from the pus. He subsequently improved and was discharged 22 days after the rendezvous ERCP.
